Medical Coder Professional - Surgical Coder

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Job Requisition ID:R00054978Job Category:Clerical and Customer ServiceOrganization:Rev Cycle - HIM PB CodingLocation/s:Central Billing Office-Clinton, RemoteJob Title:Medical Coder Professional - Surgical CoderJob Summary:Medical Coder-Professional is responsible for reviewing and coding medical records and documentation for healthcare services rendered. This role ensures that all diagnoses, procedures, and services provided are accurately coded using standardized coding systems (ICD-10, CPT, HCPCS). The coder will ensure compliance with insurance requirements, governmental regulations, and industry standards to facilitate correct reimbursement and support the accurate billing process.Education & ExperienceEducation and Experience Required: High school diploma/GED and one (1) year of medical coding experience.

Certifications, Licenses, or Registration Required:

One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC):

• Registered Health Information Management Technician (RHIT)

• Registered Health Information Administrator (RHIA)

• Certified Outpatient Coder (COC)

• Certified Inpatient Coder (CIC)

• Certified Coding Associate (CCA)

• Certified Coding Specialist (CCS or CCS-A)

• Certified Coding Specialist- Physician-Based (CCS-P)

• Certified Professional Coder (CPC or CPC-A)

• Any Physician specialty certification from AAPC

Preferred Qualifications:Prior experience in in trauma, orthopedic, cardiothoracic, wound care, urology, and plastic surgery specialties is preferred.

Knowledge, Skills & AbilitiesKnowledge, Skills, and Abilities: Knowledge of electronic coding systems. Proficiency in ICD-10, CPT, and HCPCS coding systems; strong knowledge of outpatient healthcare services and procedures. High level of accuracy and attention to detail in reviewing medical records and assigning correct codes.

Strong verbal and written communication skills to collaborate with healthcare professionals, insurance providers, and internal departments. Proficiency in electronic health record (EHR) systems and coding software.

Responsibilities:

• Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.

• Ensure coding accuracy and compliance with regulations, payer policies, and guidelines.

• Work with billing teams to prepare and submit claims, resolving any coding-related denials.

• Collaborate with healthcare providers...